Medicaid fraud
Coverage of Medicaid fraud in the Nexus archive.
- One of 8 charged in Minnesota Housing Stabilization Services fraud takes plea deal
Abdifitah Mohamud Mohamed, linked to Brilliant Minds LLC, pleaded guilty to wire fraud in the Minnesota Housing Stabilization Services (HSS) Medicaid fraud case. The HSS program, designed to assist vulnerable adults with housing, has been plagued by fraud allegations, leading to over $2.3 million in fraudulent billings for Mohamed's group and up to $100 million annually from providers. Federal authorities have halted payments to multiple providers and plan to terminate the HSS program.
- Feds suspend $60M in Medicaid fraud funding for New York
The federal government has suspended $60M in funding for New York's Medicaid Fraud Control Unit, citing poor criminal enforcement. State officials claim the move is a political attack, despite the unit recovering hundreds of millions of dollars.
- Trump fights fraud by freezing funding for New York’s Medicaid Fraud Control Unit
The Trump administration froze federal funding for New York’s Medicaid Fraud Control Unit, citing insufficient criminal indictments and convictions. New York’s Attorney General disputes the claims, highlighting the state’s recovery of over $627 million for Medicaid fraud. The funding suspension could be lifted if New York addresses the cited concerns by September 30.
- Trump administration suspends funding for New York's Medicaid fraud unit
The Trump administration suspended federal funding for New York's Medicaid Fraud Control Unit, citing insufficient criminal indictments. New York's attorney general disputed the claims and pledged to challenge the freeze.
- NY AG hopeful blasts Letitia James as Medicaid fraud recoveries collapse: 'She's not doing the job'
Republican New York attorney general candidate Saritha Komatireddy criticizes Letitia James for a sharp decline in Medicaid fraud prosecutions and recoveries, citing data showing a drop from $168 million in 2019 to $31 million in 2024. Komatireddy contrasts James' record with higher recoveries under previous New York attorneys general, including Eliot Spitzer, Andrew Cuomo, and Eric Schneiderman.
- NY AG hopeful blasts Letitia James as Medicaid fraud recoveries collapse: 'She's not doing the job'
Saritha Komatireddy, a Republican candidate for New York attorney general, criticizes Letitia James for declining Medicaid fraud prosecutions and recoveries, citing data showing a drop from $168 million in 2019 to $31 million in 2024. Komatireddy argues previous attorneys general achieved higher annual recoveries, with figures exceeding $200 million before James took office.
- Minnesota Medicaid congressional fraud hearing: $1B in losses under review
Minnesota’s Medicaid director is testifying before Congress about fraud in the state’s Medicaid program, which faces a $1 billion loss estimate from January 2022 to October 2025. Federal officials deferred $350 million in Medicaid funding after an audit found unusually high spending and rapid growth in 14 high-risk programs.
- Fraud in Minnesota: Personal care assistant accused of billing Mediciad $116K for services not provided
A personal care assistant in Minnesota is accused of defrauding Medicaid by billing $182,000 for services that were never provided, according to state investigators. The individual is facing charges related to fraudulent billing practices.
- There’s One Big Flaw With The AG’s Track Record On Medicaid Fraud
A single settlement with a dialysis company accounted for most funds recovered by Hawaiʻi's fraud unit, which is now under federal scrutiny. The article highlights a flaw in the AG's track record on Medicaid fraud.
- Watch live: Blanche, Patel give remarks in Ohio on effort to combat Medicaid fraud
Acting Attorney General Todd Blanche and FBI Director Kash Patel will address reporters in Ohio regarding federal efforts to combat Medicaid fraud. Their remarks follow a House Oversight and Government Reform Committee hearing on fraud allegations in Ohio and recent actions by the Trump administration.
- I'm Ohio's state auditor — Medicaid fraud is not just a Washington problem
Ohio's state auditor highlights significant Medicaid fraud and waste in the state, citing a 15.6% error rate in payments for ineligible services and a $1.4 billion cut from home health and hospice providers suspected of fraud. The auditor criticizes lax enforcement of rules, including failures in implementing required Electronic Visit Verification systems for home healthcare services.
- A quick and easy way to stop Medicaid fraud
Medicaid fraud has cost taxpayers billions for decades, but a proposed Republican reform of Medicaid block grants aims to reduce fraud and improve taxpayer efficiency. The reform is highlighted as a potential solution to a long-standing issue in healthcare spending.
- Emmer, DOJ escalate pressure on Walz after Patel clash over fraud raids: 'More BS'
House Majority Whip Tom Emmer and the Department of Justice criticized Minnesota Gov. Tim Walz for claiming credit for federal fraud raids targeting childcare and Medicaid fraud in Minneapolis. Walz defended the raids as a result of state-federal collaboration but faced backlash for his rhetoric and past criticism of federal law enforcement.
- Streamer who said Rick Scott should be ‘killed’ invited to Yale as lawmaker demands funding cut
Sen. Rick Scott, R-Fla., demands federal funding cuts for Yale after the university hosts Hasan Piker, a controversial streamer who previously called for Scott's death. Piker's event, 'Resolved: End the American Empire,' has sparked political backlash over his far-left views and past inflammatory remarks.
- Fraud Tourists Plead Guilty to Minneapolis Medicaid Fraud
Two Pennsylvania men pleaded guilty to a scheme involving repeated travel from Philadelphia to Minneapolis to defraud Minnesota's Housing Stabilization Services program. The men exploited the state housing assistance program through fraudulent activities.